Orbital Pseudotumor Overview
Learn About Orbital Pseudotumor
Orbital pseudotumor is the swelling of tissue behind the eye in an area called the orbit. The orbit is the hollow space in the skull where the eye sits. The orbit protects the eyeball and the muscles and tissue that surround it. Orbital pseudotumor does not spread to other tissues or places in the body.
Idiopathic orbital inflammatory syndrome (IOIS); Non-specific orbital inflammation
The cause is unknown. It mostly affects young women, although it can occur at any age.
Symptoms may include:
- Pain in eye, and it may be severe
- Restricted eye movement
- Decreased vision
- Double vision
- Eye swelling (proptosis)
- Red eye (rare)
Mild cases may go away without treatment. More severe cases most often respond well to corticosteroid treatment. If the condition is very bad, the swelling may put pressure on the eyeball and damage it. Surgery may be needed to remove part of the bones of the orbit to relieve the pressure.
Iago Pinal-Fernandez is an Internal Medicine provider in Bethesda, Maryland. Dr. Pinal-Fernandez and is rated as an Experienced provider by MediFind in the treatment of Orbital Pseudotumor. His top areas of expertise are Myositis, Dermatomyositis, Polymyositis, Antisynthetase Syndrome, and Lung Transplant.
Radiation Oncology Associates PC
Mustafa Abugideiri is a Radiation Oncologist in Leesburg, Virginia. Dr. Abugideiri and is rated as an Experienced provider by MediFind in the treatment of Orbital Pseudotumor. His top areas of expertise are Prostate Cancer, Pleuropulmonary Blastoma, Familial Prostate Cancer, and Breast Cancer. Dr. Abugideiri is currently accepting new patients.
Howard University
David Katz is a Neurologist and an Ophthalmologist in Washington, Washington, D.c.. Dr. Katz and is rated as an Experienced provider by MediFind in the treatment of Orbital Pseudotumor. His top areas of expertise are Arachnoiditis, Temporal Arteritis, Optic Neuritis, and Neuralgia. Dr. Katz is currently accepting new patients.
Most cases are mild and outcomes are good. Severe cases may not respond well to treatment and there may be some loss of vision. Orbital pseudotumor most often involves only one eye.
Severe cases of orbital pseudotumor may push the eye forward so much that the lids cannot cover and protect the cornea. This causes the eye to dry out. The cornea may become cloudy or develop an ulcer. Also, the eye muscles may not be able to properly aim the eye which can cause double vision.
People with this condition need regular follow-up care with an eye doctor who is familiar with the treatment of orbital disease.
Contact your provider right away if you have any of the following problems:
- Irritation of the cornea
- Redness
- Pain
- Decreased vision
Summary: A multicenter randomised double-arm clinical trial, to compare safety and efficacy of oral versus intralesional injection of steroid in a group of patients suffering from idiopathic orbital inflammation is designed. Outcome measures include number of recurrences, duration of remission, and side effects.
Published Date: August 05, 2024
Published By: Franklin W. Lusby, MD, Ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Cooney KA, eds. Goldman-Cecil Medicine. 27th ed. Philadelphia, PA: Elsevier; 2024:chap 391.
McNab AA. Orbital infection and inflammation. In: Yanoff M, Duker JS, eds. Ophthalmology. 6th ed. Philadelphia, PA: Elsevier; 2023:chap 12.14.